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Organization
PREMIER THERAPY SERVICES
Active
Organization
PREMIER THERAPY SERVICES
Active
Parent organization
REVERA INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
REVERA INC.
Authorized official
ISAO KITAGUCHI OTR (OCCUPATIONAL THERAPIST)
(201) 681-2581
Entity
Organization
Contact information
Practice address
5 BOROLINE RD, SADDLE RIVER, NJ 07458-2343
(201) 818-8680
Mailing address
5 BOROLINE RD, SADDLE RIVER, NJ 07458-2343
(201) 818-8680
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
46TR00669800
NJ
Other
Enumeration date
04/01/2015
Last updated
04/01/2015
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